Keep Riverside Clean and Beautiful Adopt-A-Street Report Form
IMPORTANT - record your project statistics by filling out this form and submitting it to KRCB.

KRCB asks each Adopted Street, Bike Trail, or City Right of Way to be maintained six times a year and submit a completed Report Form after each cleanup.

Name of Primary Contact *
Your answer
Contact Phone Number *
Your answer
E-mail Address *
Your answer
Date of Cleanup *
MM
/
DD
/
YYYY
Organization Name *
Your answer
Your Adopted Street, Bike Trail, or City Right of Way *
Example: 3rd St. from Kansas St. to Vine St.
Your answer
Did you borrow tools from KRCB? *
# Volunteers *
Your answer
# Hours each volunteer worked *
Your answer
# Trash bags collected *
Your answer
# Lots cleaned
Your answer
# Alleys cleaned
Your answer
# Side streets
Your answer
Storm Drains cleaned
Your answer
# Tumbleweed removed
Your answer
# Palm fronds removed
Your answer
# Green waste bags
Your answer
# Illegal Signs/Poles/Etc. eradicated
Your answer
# Graffiti tags removed
Your answer
Please list any bulky items collected and the amount (such as furniture, appliances, tires, etc.)
Example: Shopping cart (1), Tires (5), Mattress (1)
Your answer
Notes/requests/comments to KRCB’s Adopt-A-Street, Bike Trail and City Right of Way Project Coordinator:
3985 University Ave. Riverside, CA 92501 • 951.683.7100 x212 • arendon@riverside-chamber.comwww.krcb.com
Your answer
Thank you!
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